﻿<%@ Page Language="C#" AutoEventWireup="true" CodeBehind="RegistrationPage.aspx.cs" Inherits="eWebHospital.Registration.RegistrationPage" %>

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml" >
<head runat="server">
    <title>Untitled Page</title>
</head>
<body>
    <form id="form1" runat="server">
    <div>
    <table border=0>
    <tr>
        <td><asp:Label ID="Label9" runat="server" Text="Patient ID"></asp:Label></td>
        <td><asp:Label ID="lblPID" runat="server" Text=""></asp:Label> </td>
        <td><asp:Label ID="Label10" runat="server" Text="CR Number"></asp:Label></td>
        <td>
            <asp:Label ID="lblCRNum" runat="server" Text=""></asp:Label>
        </td>
    </tr>
    <tr>
    <td>&nbsp;</td>
        <td><asp:Label ID="Label1" runat="server" Text="First"></asp:Label></td>
        <td><asp:Label ID="Label2" runat="server" Text="Middle"></asp:Label></td>
        <td><asp:Label ID="Label3" runat="server" Text="Last"></asp:Label></td>
    </tr>
    <tr>
        <td><asp:Label ID="Label4" runat="server" Text="Patient Name:"></asp:Label></td>
        <td><asp:TextBox ID="txtpFname" runat="server"></asp:TextBox></td>
        <td><asp:TextBox ID="txtpMname" runat="server"></asp:TextBox></td>
        <td><asp:TextBox ID="txtpLname" runat="server"></asp:TextBox></td>
    </tr>
<tr>
    <td>&nbsp;</td>
        <td><asp:Label ID="Label5" runat="server" Text="First"></asp:Label></td>
        <td><asp:Label ID="Label6" runat="server" Text="Middle"></asp:Label></td>
        <td><asp:Label ID="Label7" runat="server" Text="Last"></asp:Label></td>
    </tr>
    <tr>
        <td><asp:Label ID="Label8" runat="server" Text="Father/Husband Name:"></asp:Label></td>
        <td><asp:TextBox ID="txtrFname" runat="server"></asp:TextBox></td>
        <td><asp:TextBox ID="txtrMname" runat="server"></asp:TextBox></td>
        <td><asp:TextBox ID="txtrLname" runat="server"></asp:TextBox></td>
    </tr>
    <tr>
        <td><asp:Label ID="Label12" runat="server" Text="Age"></asp:Label></td>
        <td><asp:TextBox ID="TextBox1" runat="server"></asp:TextBox></td>
        <td><asp:Label ID="Label13" runat="server" Text="Sex"></asp:Label></td>
        <td>
            <asp:RadioButton ID="Sex" runat="server" Text="Male" />
            <asp:RadioButton ID="Sex0" runat="server" Text="Female" />
        </td>
    </tr>
    <tr>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
        <td>&nbsp;</td>
    </tr>
    </table>
    </div>
    </form>
</body>
</html>
